2018-07-12T15:39:39-05:00 2017-08-31 621517792 Pershing Yoakley and Associates PC One Cherokee Mills 2220 Sutherland Ave Knoxville TN 379192363 990 2016-09-01 582077522 Ridgeview Institute Inc RIDG 7702949327 2070 Riverside Road Roswell GA 30076 Robert M Fink Chairman 7702949327 2018-07-12 1 Deborah O Ernsberger P00364912 8656730844 12.29.248.130 2018-07-12 15:39:33 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B438137099BC5B6D202E7851C05CF792784239D4 2016 2018-06-14 16:35:46Z Robert M Fink 2070 Riverside Road Roswell GA 30076 64646199 0 X N/A X 1994 GA To provide a continuum of mental health and addiction treatment services to the community X 4 3 620 0 0 0 9089 0 36420279 12403340 30782 48565779 -329230 1997125 36130920 62966244 0 57162120 0 0 21893062 9133637 0 0 0 13792405 5777907 35685467 72073664 445453 -9107420 32077944 6652029 16580075 261580 15497869 6390449 X Our Mission is to provide a comprehensive continuum of mental health and addiction treatment services based upon a commitment to excellence and quality care to patients and families. We will continually strive to assess and improve our performance as a nonprofit healthcare provider. 0 1 67817725 57162120 62962199 The primary purpose of Ridgeview Institute, Inc. is to provide mental health and addiction treatment services. Specific examples of services that Ridgeview Institute, Inc. offers include:- Free assessments to anyone in the community who requests one- Provide services to people who are struggling with Mental Health, Addiction, Eating disorders and other issues and recommends treatment options- Present free community education at local schools and universities for both students and parents- Provide community education at a local urgent care clinic to educate about behavioral health issues and verbal de-escalation- Participates in local and regional awareness events as a community sponsor 67817725 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 84 0 1 620 1 0 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 1 0 GA X Shane George 7703962200 3300 Riverwood Parkway Ste 700 Atlanta GA 30339 Robert Fink CHAIRMAN 30.00 X X 408373 0 18823 JOHN RAY BOARD MEMBER 2.00 X 0 0 0 ROBERT J TAYLOR BOARD MEMBER 2.00 X 0 0 0 TED SMITH BOARD MEMBER 2.00 X 0 0 0 WILLIAM SARTOR CEO 40.00 X 256972 0 26890 RUTH JENKINS CFO 40.00 X 157832 0 18823 BARBARA LINDENBAUM CLINICAL DIRECTOR 40.00 X 173302 0 18823 LINDA LEGER Director of Information Systems 40.00 X 119226 0 8530 KATHERINE S BREWER Program Manager 40.00 X 112169 0 18823 Charles Platt Nurse Manager 40.00 X 110382 0 8873 DEBORAH ANN BAKER RN 40.00 X 113427 0 8873 Timothy Grant RN 40.00 X 112206 0 0 1563889 0 128458 18 0 1 0 SOUTHERN FOOD SERVICE PO BOX 11407 BIRMINGHAM AL 35246 FOOD SERVICES 187367 Troutman Sanders LLP 600 Peachtree Street NE Suite 300 Atlanta GA 30308 Legal Services 166117 AmerisourceBergen 1300 Morris Drive Chesterbrook PA 19087 Pharmacy 133958 Netsmart Technologies Inc 4950 College Boulevard Overland Park KS 66211 Computer Services 112945 Arthur J Gallagher RMS Inc 1050 Crown Pointe Parkway Suite 60 Atlanta GA 30338 Consulting Services 111531 5 Patient Revenues 623990 12403340 12403340 12403340 4045 4045 1997125 0 1997125 1997125 1997125 50241689 1679955 48561734 48561734 48561734 62966244 62962199 0 4045 57162120 57162120 721090 721090 6891263 4272583 2618680 1521284 943196 578088 1545544 958237 587307 25932 25932 56816 35226 21590 143783 89145 54638 972904 603200 369704 Nursing Family Workshop 1560227 1560227 Bad Debt 949262 949262 SUPPLIES 523439 523439 72073664 67817725 4255939 0 5708388 4221170 271765 0 3724513 43780 72434 0 446084 0 0 0 20950611 0 904149 2387079 32077944 6652029 2146783 261580 5310000 0 7317944 0 1805348 0 16580075 261580 X 15497869 6390449 15497869 6390449 32077944 6652029 -9107420 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 4888 4888 0 Part II-B, Line 1: Ridgeview Institute pays membership dues to the Georgia Hospital Association. A portion of these dues is designated for lobbying activities by these organizations. 0 Assets Limited as to Use 2137079 Other Receivables 250000 2387079 X 62966244 0 62966244 0 62966244 72073664 0 72073664 0 72073664 Part X, Line 2: Ridgeview Institute is exempt from federal income taxes pursuant to Section 501(a), as an organization described in Section 501(c)(3) of the Internal Revenue Code (IRC), as amended. Accordingly, no provision for income taxes has been made in the accompanying financial statements. At August 31, 2017, management does not believe that Ridgeview Institute holds any uncertain tax positions that would require financial statement recognition or disclosure under generally accepted accounting principles. Tax returns filed for 2014 through 2016 are subject to examination. 1 1 1 X 1 X 1 1 1 0 1 1 127428 127428 0.00180 260724 260724 0.00370 388152 388152 0.00550 388152 388152 0.00550 1 466705 1355477 1427604 -72127 X 1 1 1 1 RIDGEVIEW INSTITUTE INC 3995 SOUTH COBB DRIVE SMYRNA GA 30080 X psychiatric Ridgeview Institute Inc 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X 1 15 0 1 0 1 X 100.000000000000 200.000000000000 X X X 1 1 X X X 1 X X X X 1 X 0 X 0 X 0 0 Ridgeview Institute, Inc. Part V, Section B, Line 5: Ridgeview Institute involved the social services departments of Cobb County schools including Directors of counseling/social work and prevention intervention departments. Ridgeview Institute surveyed therapeutic providers in Cobb County to identify areas of need. Ridgeview Institute, Inc. Part V, Section B, Line 7d: During the fiscal year, the CHNA was available on the hospital website. However, effective January 5, 2017, Ridgeview Institute executed an asset purchase agreement with US HealthVest, LLC, which included the sale of Ridgeview's hospital operations. Due to the discontinuation of hospital operations, the CHNA is no longer available on Ridgeview's website. Ridgeview Institute, Inc. Part V, Section B, Line 11: Several needs outlined in the CHNA processes have not been addressed in this plan. In initial discussion and subsequent prioritization, the Community Needs Assessment Team considered the levels to which some needs were already being addressed in the service area. Additionally, some community needs fall out of the scope of expertise and resources of the hospital.Additionally, subsequent to January 5, 2017. the operations of Ridgeview Institute were purchased by US Healthvest, LLC. Ridgeview Institute has no current active operations and, therefore, is unable to address community health needs. Ridgeview Institute, Inc. Part V, Section B, Line 16j: During the fiscal year, the financial assistance policy was available on the hospital website. However, effective January 5, 2017, Ridgeview Institute executed an asset purchase agreement with US HealthVest, LLC, which included the sale of Ridgeview's hospital operations. Due to the discontinuation of hospital operations, the financial assistance policy is no longer available on Ridgeview's website. Ridgeview Institute, Inc. Part V, Section B, Line 18e: Send to third party collection agency for further collection activity. Ridgeview Institute, Inc. Part V, Section B, Line 21d: RIDGEVIEW INSTITUTE IS A BEHAVIORAL HEALTHCARE FACILITY. MEDICAL EMERGENCY PATIENTS ARE REFERRED TO AND/OR TRANSFERRED TO A MEDICAL HOSPITAL. Part V, Line 1 Effective January 5, 2017, Ridgeview Institute, Inc. executed an asset purchase agreement with US HealthVest, LLC which included the sale of certain assets related to the hospital business, as well as all rights to the operation of the hospital business. This agreement represented a discontinuation of hospital operations for Ridgeview Institute, Inc. Part I, Line 7: A cost-to-charge ratio, derived from the Schedule H applicable worksheets, including Worksheet 2, Ratio of Patient Care Cost to Charges, was used to determine charity care. The total operating expense was divided by patient revenues to calculate an overall ratio that was then applied to indigent and charity care charges to arrive at cost. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 949,262. Part III, Line 4: A cost-to-charge ratio was also used to determine bad debt cost. The total operating expense was divided by patient revenues to calculate an overall ratio that was then applied to the bad debt expense to arrive at cost.The audited financial statements read as follows: "Patient accounts receivable are reported net of an estimated allowance for uncollectible accounts and an estimated allowance for contractual adjustments. The estimated contractual allowance represents the difference between established billing rates and estimated reimbursement from Medicare and other third-party payment programs. Current operations are charged with an estimated provision for bad debts through the establishment of the estimated allowance for uncollectible accounts based upon historical experience, the age of the accounts and any unusual circumstances which affect the collection of patient accounts receivable. Management reviews essentially all accounts for collectability prior to recording revenue." Part III, Line 8: The cost of medicare was determined from the Medicare Cost Report. Part III, Line 9b: Ridgeview Institute has the policy for internal and external collection practices that takes into account the extent to which the patient qualifies for charity, a patient's good faith effort to apply for a governmental program or for charity from Ridgeview Institute, and a patient's good faith effort to comply with his/her payment agreements with Ridgeview Institute. For patients who qualify for charity and for patients who are cooperating in good faith to resolve their hospital bills, Ridgeview Institute may offer extended payment plans to eligible patients; will not impose wage garnishments or liens on primary residences; will not send unpaid bills to outside collection agencies; and will cease all collection efforts. Part VI, Line 2: Ridgeview Institute identified community health needs by undergoing an assessment process. This process incorporated a comprehensive review by the hospital's Community Needs Assessment Team along with secondary and primary data input using the expertise of an independent third party. The team used several sources of quantitative health, social and demographic data specific to the home county of the facility provided by local public health agencies, health care associations and other data sources. Ridgeview Institute also collaborated with its administrators, physicians, state agencies, and local organizations in completing this assessment. Part VI, Line 3: Ridgeview Institute makes available financial assistance to persons who have healthcare needs and are uninsured, or underinsured, and whose household income is less than or equal to 200% of the Federal Income Poverty Guidelines. The amount that a patient is expected to pay and the amount of financial assistance offered depends on the patient's insurance coverage, income, and assets as set forth in the eligibility section of this Policy. The Federal Income Poverty Guidelines will be used in determining the amount of charity care and the amount charged to patients, if any, after an adjustment. Amounts charged for emergency and medically necessary medical services to patients eligible for Financial Assistance will not be more than the amount generally billed to individuals with insurance covering such care. Part VI, Line 4: Ridgeview Institute specializes in treating people with addiction or mental health problems in the Cobb County area. Many of Ridgeview's patients are encompassed in this geographic area. Using a county definition as a service area is crucial for our analysis as many secondary data sources are county specific and serve as a comparison tool to other counties, the state of Georgia, and the United States. Also, many of our community input sources consider Cobb County their primary service area. These include members of different agencies of Cobb County, as well as many different community advocacy groups with whom Ridgeview Institute has relationships. Part VI, Line 5: Ridgeview Institute has an open medical staff, holds 15+ educational seminars each year and provides space and services for many community events free of charge each year. Ridgeview uses surplus funds to increase programming and staffing in order to better provide for the community. Ridgeview has a community board consisting of a local healthcare attorney, a retired banker, a professor at Morehouse School of Medicine and a local financial professional. Ridgeview participates in a joint venture with Emory University to provide fellowship opportunities for child/adolescent psychiatric physicians. Ridgeview provides free education to community partners, i.e. schools, physician practices. Part VI, Line 6: n/a Part VI, Line 7, Reports Filed With States GA 0 Gift of Hope Foundation Inc 8920 Eves Road 769119 Roswell GA 30076 813228721 501(c)(3) 38269437 18892683 Book Land, land improvements, buildings, and tangible property To provide hope to those suffering, particularly those suffering from mental illness or addiction 1 X X X X 0 0 0 0 0 0 0 0 0 Robert Fink CHAIRMAN 49623 0 0 0 358750 0 0 0 18823 0 427196 0 0 0 WILLIAM SARTOR CEO 217972 0 39000 0 0 0 0 0 26890 0 283862 0 0 0 RUTH JENKINS CFO 147832 0 10000 0 0 0 0 0 18823 0 176655 0 0 0 BARBARA LINDENBAUM CLINICAL DIRECTOR 153302 0 20000 0 0 0 0 0 18823 0 192125 0 0 0 Prepaids 2017-01-05 119616 Fair Market Value Appraisal 800865012 US HealthVest LLC 32 East 57th Street 17th Floor New York NY 10022 C-Corporation Inventories 2017-01-05 104335 Fair market value appraisal 800865012 US HealthVest LLC 32 East 57th Street 17th Floor New York NY 10022 C-Corporation Equipment 2017-01-05 1214315 Fair Market Value Appraisal 800865012 US HealthVest LLC 32 East 57th Street 17th Floor New York NY 10022 C-Corporation Cash 2017-08-31 38269437 Cash Value 411328097 Gift of Hope Foundation Inc 8920 Eves Road 769119 Roswell GA 30076 501(c)(3) Land 2017-08-31 3875171 Fair Market Value Appraisal 411328097 Gift of Hope Foundation Inc 8920 Eves Road 769119 Roswell GA 30076 501(c)(3) Land Improvements 2017-08-31 1150009 Fair Market Value Appraisal 411328097 Gift of Hope Foundation Inc 8920 Eves Road 769119 Roswell GA 30076 501(c)(3) Buildings 2017-08-31 24944352 Fair Market Value Appraisal 411328097 Gift of Hope Foundation Inc 8920 Eves Road 769119 Roswell GA 30076 501(c)(3) Tangible Property 2017-08-31 30469 Fair Market Value Appraisal 411328097 Gift of Hope Foundation Inc 8920 Eves Road 769119 Roswell GA 30076 501(c)(3) 0 1 0 0 0 0 0 0 0 Part I, Line 2e: Person(s) Involved: Ruth Jenkins, former CFO of Ridgeview Institute Part I, Line 2e: Explanation of Involvement: Ms. Jenkins is currently employed by US Healthvest, LLC Form 990, Part III, line 3 Ridgeview Institute sold a significant portion of its assets to US Healthvest, LLC, during fiscal year 2017. Ridgeview Institute then donated all of its remaining real and tangible property, as well as the cash proceeds from the sale to US Healthvest, to the Gift of Hope Foundation, a 501(c)(3) tax-exempt organization with a mission to provide hope for those suffering, particularly those suffering from mental illness or addiction. Ridgeview Institute has ceased active operations as of January 2017. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by an unrelated and independent accounting firm and reviewed by the Chairman of the Board of Directors. Form 990, Part VI, Section B, line 12c The organization's by-laws contain a section dedicated to conflicts of interest. Board Members are required to complete annually a relationship declaration to identify any potential conflicts of interest. In addition, the Board requires anyone with interests that could create a conflict to abstain from Executive Session votes. Form 990, Part VI, Section B, line 15 THE BOARD USES THE FOLLOWING TOOLS TO ESTABLISH THE COMPENSATION FOR THE CEO - A COMPENSATION COMMITTEE (COMPRISED OF INDEPENDENT BOARD MEMBERS), A WRITTEN CONTRACT FOR THE CEO, COMPENSATION SURVEYS, AND BOARD LEVEL APROVAL. THE CEO USES BENCHMARK SURVEYS AND RECRUITERS TO ESTABLISH THE COMPENSATION FOR THE OTHER OFFICERS AND KEY EMPLOYEES OF THE HOSPITAL. Form 990, Part VI, Section C, line 19 The organization makes these documents Available upon request. Form 990, Part XII, Line 2c: THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF AUDIT OF THE FINANCIAL STATEMENTS AND SELECTS THE INDEPENDENT THIRD PARTY ACCOUNTANT. Ridgeview Real Estate LLC 3995 South Cobb Drive Smyrna GA 30080 582077522 Rental Property GA 105162 0 Ridgeview Institute Inc Part 1 ON JANUARY 5, 2017, RIDGEVIEW INSTITUTE, INC. ENTERED INTO A SALE AGREEMENT WITH US HEALTHVEST, LLC WHICH LED TO THE REAL PROPERTY OF RIDGEVIEW REAL ESTATE TO BECOME PART OF RIDGEVIEW INSTITUTE, INC. THE ACTIVITY BEFORE THE SALE HAS BEEN REPORTED accordingly BUT AS OF THE LAST DAY OF THE YEAR, RIDGEVIEW REAL ESTATE LLC WAS NO LONGER A SEPARATE ENTITY.